CHAPTER 3 INDIAN DIMENSIONS 3.1 Introduction Wellness has always been an integral part of Indian lifestyle. But it would not be wrong to say that a more evolved and commercial approach towards their facet has been fairly recent in India. The professional lifestyle is a stressed one which leads to tension. Health has become a major concern with the awareness of sedentary lifestyles that lead to overweight, stress, cholesterol and tension. Too fatty, too sugary, salt laden, diet habits also complicated the issue of good health. The health and wellness sector in India is in the stage of progression with the entry of new investors with private equity funding. This is regarded as a remarkable growth in the health and wellness tourism verticals. For example, the VLCC health care Wellness unit based in Delhi received national and international private equity investments ranging over 43 million dollars. According to a report by FICCI, Ernst and Young in 2009, India’s wellness market is expected to grow about 30-35% year after year due to rising consumerism, globalization and changing life styles, rising disposable incomes, increasingly demanding and stressful work place conditions and sedentary lifestyles. 3.2 India –A Contemporary Global Center for Health and Wellness India and China are the oldest and greatest civilizations of earlier times and it spreads through the length and breadth of the Asian land mass from China across to India, Arabia, West coast of Africa and South East Asia. As a result, the imprints of these two civilizations – Indian and Chinese became the part of philosophy, religion, and other cultural practices of Indonesia, Malaysia, Thailand, Cambodia, Myanmar, Laos, Philippines, and Vietnam.
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CHAPTER 3
INDIAN DIMENSIONS
3.1 Introduction
Wellness has always been an integral part of Indian lifestyle. But it would not be
wrong to say that a more evolved and commercial approach towards their facet has been
fairly recent in India. The professional lifestyle is a stressed one which leads to tension.
Health has become a major concern with the awareness of sedentary lifestyles that lead to
overweight, stress, cholesterol and tension. Too fatty, too sugary, salt laden, diet habits
also complicated the issue of good health.
The health and wellness sector in India is in the stage of progression with the entry of
new investors with private equity funding. This is regarded as a remarkable growth in the
health and wellness tourism verticals. For example, the VLCC health care Wellness unit
based in Delhi received national and international private equity investments ranging over
43 million dollars. According to a report by FICCI, Ernst and Young in 2009, India’s
wellness market is expected to grow about 30-35% year after year due to rising
consumerism, globalization and changing life styles, rising disposable incomes,
increasingly demanding and stressful work place conditions and sedentary lifestyles.
3.2 India –A Contemporary Global Center for Health and Wellness
India and China are the oldest and greatest civilizations of earlier times and it spreads
through the length and breadth of the Asian land mass from China across to India, Arabia,
West coast of Africa and South East Asia. As a result, the imprints of these two
civilizations – Indian and Chinese became the part of philosophy, religion, and other
cultural practices of Indonesia, Malaysia, Thailand, Cambodia, Myanmar, Laos,
Philippines, and Vietnam.
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Most of the Eastern healing traditions are having the original theoretical roots in
Indian and Chinese traditions which have been modified and adapted to local health
traditions to suit the needs of the local population. These have now been accepted as
modalities of treatments by various cultures and subcultures. The people of Japan, Indo
China, Archipelago and Middle East countries developed their own healing practices even
though they were originally belonging to the part of India and China for traditional healing
practices.
Unani or Graeco Arabic medicine of Middle Eastern tradition has its origin in Greece
with Hippocrates and came to India through Moghul dynasty and later spread over to
Bangladesh and Pakistan. Confluence of traditions are blend in the modalities and
treatments of this region. Su Jok and Shiatsu are the Chinese traditions of acupressure
treatments focusing on meridian points of the human body. This form of treatment is
followed in Thai medicine as well. Ayurveda treatment has been spread through the
neighbouring hilly regions of India to China and influenced the traditions and practices of
Chinese medicine.
The healing traditions of the East and the West have a vast difference. The East sees
the body as a Divine temple and the holistic healings is based on cultural and spiritual
rituals. The East shares the principles of mind, body, spirit and environment for the basis of
treatment.
The benefits of meditation in stillness, silence and breathing and its influence on the
functioning of mind, body and spirit was understood and practiced by the ancient sages
long before the conduction of scientific research by the West to understand the mysteries
of mind. The Eastern health and wellness treatment practices are time tested and accepted
as a healing tradition for generations across the world.
The old traditions and practices are being brought in to the hotels, health resorts and
studios from the back yards of ashrams and courtyards of temples for the benefit of
providing elixir of life. The Acupuncture, the Chinese art of treating on pressure points is
widely accepted as a magnificent legitimate health and wellness management practice.
Approximately half of the populations of the most industrialized countries are now using
complimentary medicine as a part of their general health care and also for wellness and
preventive purposes (Bodeker et al. 2005)144. The scientific literature based on research
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acknowledges the benefits of indigenous systems and therapies such as massages,
meditation, yoga, quigong, ayurveda, acupuncture and Chinese treatments. It is interesting
to note that most of these therapies are used in the Spa industry.
The traditional system of Indian treatment is one among the oldest organized practice
for curing human sickness. It has Cultural origin dating back to 5000 BC. India is a seat of
spiritualism with a confluence of five major religions – Hinduism, Sikhism, Christianity,
Islam, Buddhism and Jainism. The wellness tourism services were extended to pilgrims
and patients from thousands of years ago in India.
India is fast emerging as one of the preferred destinations for this increasingly visible
section of medical and wellness tourists. The wellness treatment in India incorporates
alternate treatments incorporating Siddha, Yoga, Unani and Naturopathy. The fundamental
of Ayurveda, Yoga, Meditation, Unani Naturopathy and Homeopathy are a combination of
curative, preventive, rejuvenation and is based on physical cleansing and purification of
soul. This also brings in the role of religion in cure, care and wellness practices in India as
a natural solution to health, a gift to the world. According to Poornima (2012)145 the
researchers, scientists and doctors of the Western world has started accepting the positive
aspects of the Indian system of natural healing practices and are guiding their patients for
cure of their illness. As per the research conducted among the people of America
approximately 70% prefer to avail natural treatments and more than 25 billion US dollars
are spent on wellness therapies and products.
Diabetes is the common metabolic disorder fiercely affecting populations in all
geographical regions of the world and is causing a major problem for health in the country.
Various studies depict that the major cause of diabetes in India is due to lack of physical
work, deskbound activity, sluggish lifestyle, obesity, stress and consumption of diet rich in
sugar, fat and calories. Also, diabetes, which was once prevalent only among adults, is now
found commonly in younger generation and children, due to changes in lifestyle and
unbalanced eating habits. According to a recent study conducted in India about 61.3
million people are suffering from diabetes related illness. It is likely to reach 80 million by
2025 turning India the “Diabetes Capital of the World”.
Traditional yoga exercise, ayurvedic diet management, spa treatments, herbal
healings, massage, beauty care facials, aroma therapy, acupuncture, thermal and winter
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treatments are the low cost and wide range of treatments to lessen, alleviate or remove pain
or for enhancement purposes, and also for excellent leisure and relaxation adopted to
improve physical and emotional state of wellbeing. These cultural and traditional practices
make India a Health and Wellness Tourism destination.
3.3 Health and Wellness Treatments – Indian Perspective
India holds competitive advantages in health and wellness or health tourism, be it the
low cost advantage, availability of health care professionals, reputation for traditional and
advanced health care segments such as Ayurveda, Unani, Naturopathy, Cardio vascular
surgery, Organ transplant etc, All these project turn India as an ideal health care
destination. Henderson (2004)146 differentiates between travel for reasons of wellness,
illness or disease, example medical interventions and health checkups.
3.3.1 Ayurveda
Ayurveda which originated thousand years ago in India, is considered as one of the
oldest practices of health care in the world based on natural systems and principle for
balancing the body, mind and spirit with nature. Ayurveda is a Sanskrit term combining
“Ayus” and “Veda” “Knowledge of life” or “Science of life”. The Rig Veda, Hindu holy
book of wisdom written over 6000 years ago narrates the fundamentals of prescriptions
and treatments that help to overcome various ailments. Ayurveda is popular throughout the
world as an alternative medicine since its approach is holistic in nature by preventing the
illness, healing the sickness, and preserving life. The concept of Ayurveda is based on the
five elements of universe, air, fire, water, earth and celestial matters. Their representations
in a human body in the form of Dosha’s – Vata, Pitta, and Kapha. Any form of disturbance
in these Doshas loses the body’s stable state or balance. Ayurvedic systems deal with the
analysis of symptoms of diseases, its causes, diagnoses and treatment. It is based on
Mental, Physical and Spiritual aspects of wellbeing. This is a traditional form of practice
which is an indigenous medical practice inherited from the ancestors skills.
The treatment of Ayurveda had new dimension around 520BC during the time of
Budha with discovery of several metals. Medical practitioners infused herbs with mercury,
sulphur, and other metal powders to make the treatment more powerful. The famous
Buddhist herbalist Nagaurjana developed several metal and herbal concoction and
popularize it for the treatment of various ailments.
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The Emperor Ashoka (304BC-232BC) and Monarch Chandragupta Maurya (375-415
AD) promoted Ayurveda and the therapy flourished with the contributions from the
renowned herbalists of that time and became rich in terms of it content. It remained in the
forefront as a means of treatment over several centuries. The traditional methods of Indian
Ayurvedic practices have a strong influence on the South East Asian Spas through the
Buddhist priests who migrated from India. The treatment of Ayurveda is based on creating
a perfect balance of body, mind and soul and incorporating various medicines based on
herbs, gems, amulets and jyotishi for curing ailments along with yoga aroma and
meditation. Panchakarma – is a rejuvenation therapy involving five treatment strategies,
developed indigenously from India, which was spread to the West by Maharshi Mahesh
Yogi during 1980’s and 1990’s. The treatment of Panchakarma eradicate the basic causes
of disease by removing the toxic materials from the human body, and re-energize the body
tissues thus treating and reducing the existing disease and their symptoms.
Kerala, a leading Ayurveda tourism destination has a long history of practicing
Ayurveda and gained wider popularity among international tourists. It has added a lot of
value to the tourism experience in the state. The popularity of Ayurvedic oil massages
which caught the tourist’s fascination and the process of delivery became commercialized.
Ayurveda become an item in the list of facilities that the resort or hotels offer together in
addition to Kerala’s unique selling points. One of the best known traditional Ayurvedic
treatment center – Kottakkal Arya Vaidyasala in Malappuram district of Kerala State has
many International patients and domestic patients from other parts of India seeking
curative and preventive treatments such as de stress, detoxification, relaxation, and
rejuvenation. Many hotels in other states are also entering the wellness service market,
offering Ayurvedic massages, tying up with professional organizations in a range of
wellness fields. Ayurveda has become a globalized indigenous system of health and
wellness having Ayurvedic practicing centers spread across countries like Hungary,
Britain, Austria, Germany, North America and many parts of Asia where it is accepted as
an accredited health care treatment.
3.3.2 Yoga
The word yoga had its origin from the Sanskrit language “Yuj” meaning to “Unite”.
As per the belief, the principle of Yoga is established by Lord Shiva and, goddess Parvathi
was enrolled as the first disciple to learn the art. Ruminants of the idols with poses of Lord
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Shiva and goddess Parvathi performing asanas and meditation discovered from the
archeological excavations sites of Harappa and Mohan-jo-daro proves that the art of yoga
has been practiced thousands of years ago. Yoga had its first mention in the Rigveda. In
Bhagavad Gita, it has its mention as “the skill in action”. The Upanishads which was
written in 4th and 8th century carry an elaborate narration of the principles and benefits of
yoga.
“Yoga is not a religion but it is meant for individual growth and for physical,
emotional, intellectual, and spiritual balance” (Iyengar 1989)147. Thus, yoga and meditation
is identified as an essential element of holistic and spiritual tourism. Ashtanga Yoga and
Hatha yoga are the two popular forms practiced in recent years. Raja yoga has only
breathing and visualization techniques that include Buddhist meditation for achieving
calmness of mind and inner peace. Raja yoga has become Westerner’s choice in recent
years. As per the philosophy of yoga, the root cause of any disease is the imbalance
between the energy levels of the body. The process of yoga therapy may help to restore
and harmonize emotional, mental and physical balances which bring tranquility in an
individual’s life.
Satyamoorthy (2012)148 opined that Yoga is a traditional health care practice
perfected in India by the hermits and saints thousands of years ago. It is considered as an
art as well as science involving moral, mental and spiritual health of an individual. It helps
living in tune with the universe. It is an Indian tradition that dates back to 3000BC. It is a
practice that uses posture and breathing techniques for relaxation and improving strength.
Yoga is suitable for all ages and do not require special equipment. Yoga is known for its
rigorous yet relaxing asanas which help to be aware of body, mind and environment.
Yoga asanas or Practice of various postures is based on both art and science for
maintaining physical and mental health. This ancient traditional art is becoming very
popular. Yogasanas are involved in flexing and stretching of the body keeping the vertebral
column supple, strong and healthy. It increases the blood flow and tone up the muscles,
and rejuvenates each and every cells of the body with ample amount of oxygen supply. The
various postures of yoga invigorate the internal organs by the gentle massage and maintain
them in healthy condition. It also helps to create a perfect internal peace by cleansing and
detoxifying the entire body and increases immunity against diseases. The yoga also keeps
the cholesterol and blood pressure level in check also, help in slowing down the physical
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and mental ageing process. Various postures in yogasana results in free flow of blood and
impart a radiant glow on neck, face, hair and skin and also speed up the metabolism
resulting in slimness of the entire body.
3.3.3 Siddha
Siddha is a medical system where the Physician studies the clinical history after
observing the patient’s pulse. In Siddha system of practice it is believed that the disease or
the condition of discomfort in a human body is due to the loss of equilibrium of the five
elements of the human body.
3.3.4 Unani
Unani medicine is a system which is based on the principle of body and its
composition on air, earth, water and fire. These natural elements have influence on the
human body which has different temperaments such as cold and hot, wet and dry. This
form of medicine believes that the four natural elements blends and forms a new
temperament groups such as hot-wet, hot-dry, cold-wet, and cold-dry. This branch of
medicine improves health through preventing disease.
3.3.5 Naturopathy
The history of naturopathy is traced back to Vedic times and finds its mention in
Vedas and ancient texts. “Swasth Vritta” mentioned under Ayurveda is the practice of
Naturopathy. It is an age old tradition where the patients are treated with natural medicines
and natural healing process after educating them about the healthy life style. According to
naturopathy, “a disease can be treated by regulating diet without taking any medicine” A
right choice of food in accordance with ones hunger and constitution is the basic principle.
Udupa (2012)149 shared that “The naturopathic medicines incorporate water, earth, light,
heat and diet for its treatment and cure. The naturopathic treatments concentrate on
enhancing the healing power present in the human body”.
Naturopathy believes that the cause of disease in a human body is due to the
accumulation of waste products and that its timely removal provides relief and cure. The
natural healing power of the human body is utilized for the treatment of illness. The cause
is evaluated on the basis of overall factors responsible for the disease which involves the
environmental, emotional, psychological factors, working, and relaxation. In naturopathy
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treatment, there is no identified cause of the disease or treatment and the organs such as
stomach, kidneys, lungs etc. are purified by fasting. As a part of the therapy fasting is
encouraged to eliminate the overloaded morbid elements accumulated in the human
system.
3.3.5.1 Acupuncture
Treatment using Acupuncture is an age old Chinese procedure, practiced for the
disease resulting from the energy disruption in the human body. The specific point of the
body is stimulated by inserting thin metal needles. The inserted needles activate the flow
and retain the continuity of energy flow in the body. By removing the block, the flow of
Qui is retained for retaining the energy level in the human body.
3.3.5.2 Herbal Medicinal Treatment
Every part of the identified herbs and plants such as roots, seeds, pods, flowers, bark
and leaves are used for the herbal medicinal treatment. It is also used in naturopathy
treatment. The chemical compounds produced by these plant parts as part of their
metabolic activities produce various chemical components which is beneficial to human
body.
3.3.5.3 Hydropathy
Water is known for its curative and palliative virtues. The accurate hydropathical
procedures such as steam baths, neutral baths, cold packs, floatation and wrapping are used
for the treatment of balancing the metabolism of various organs in the body.
3.3.5.4 The Healthy Diet
This provides vital nutrients which aids in the body’s metabolic functioning and
overall body development.
3.3.5.5 Music
Unique application of music as a therapy enhances the positive mood of the
individual and results in psychological and emotional changes in behavioral pattern of the
human being.
3.3.5.6 Mud Therapy
Different varieties of mud from identified locations such as Peat based organic mud,
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thermal mud obtained from the hot springs, brine mud collected from the sea bed are used
for the treatment of several illness. The application of mud on the body influences the
physical and emotional state of mind and subsidizes the physical and mental ailments. It
increases the circulation of blood and removes black heads by detoxifying the skin.
3.3.5.7 Natural Reflexology
The rubbing and kneading on the surface of the body increases the blood circulation
and stimulate the superficial layers of the skin and increases nerve stimulations. Massages
on pressure point are usually adopted to loosen the muscles of feet and hands. Natural
reflexology therapy is widely used for disorders like back pain, insomnia, migraine,
arthritis etc.
3.3.5.8 Magnet Therapy
Small static magnets are placed on several parts of the body to stimulate the body
tissue and cells. It helps in controlling several physical and psychological ailments.
3.3.5.9 Chromo Therapy
This is a natural method adopted for treating disease by colour and for maintaining
good health. By nature, every colour rays has a wave length of specific nature and carry
different energy levels.
3.3.5.10 Semi Precious and Precious Stones or Gems
These stones or gems are believed to have astrological links, the ability of interfering
with human energy levels and rectifying its imbalances. It enhances the mental, spiritual,
and physical health of a human being.
3.3.5.11 Aroma Therapy
Aroma therapy is a holistic form of treatment widely used for the physical and
psychological wellbeing of an individual using essential oils extracted from aromatic
plants, shrubs and trees. It increases the stability of mind and body as well as resistance
power. Scientific researchers are on to study the efficacy of essential oils and associated
aroma therapy’s role in the physical and physiological wellbeing of an individual. The
main method of aromatherapy is through massage with application of floral, herbal and
essential oils. Aromatherapy is also used on babies for the benefit of relaxation and skin
development.
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3.3.6 Religion and Spirituality in Health and Wellness
India is a land of diverse cultures and beliefs with inherent spirituality. India has
many religious places like Amritsar, Dwaraka, Ajmer, Vaishno Devi, and Tirupathi which
are serving as spiritual as well as tourism centers. India is also having motivating speakers
and proponents of spirituality like Swami Baba Ramdev, Sri Sri Ravishankar, Mata
Amirtanandamayi who are attracting many domestic and international spiritual tourists.
Many of these national and international tourists are visiting these spiritual centers or
spiritual leaders for spiritual healing.
Spiritual wellness seekers reflect a quest for enlightenment, and the religious places
offer a calm serene environment. De Botton (2002)150 suggests that people like to connect
with universe and infinity through “Sublime” landscapes. Others may simply attend
courses which can lead to spiritual enhancement (eg. Yoga, meditation, chanting).
Buddha like the Hippocrates, the father of Medicine also believes in the innate
healing power of human beings, through life style changes and attitude towards life.
Rajasekhar (2012)151 said that the optimal health and wellness in a human body is achieved
when the mind, body and spirit act in tandem. It also increases the life span of the human
being. The disharmony of mind body, and spirit lead to diseases.
Stress is another factor that influences balance of the physical, mental and spiritual
state of health. According to Buddha “Craving is the fountain head of all human miseries”.
Buddhism focuses on “Emptiness”-wisdom of knowing the impermanence of material
things. Abstinence from craving, remove the stress from the mind and fill with composure,
which constitute wellness in body and mind. Buddha advises to seek the “Light” within
through meditation and awaken to self-knowledge which opens the door to ultimate
wisdom.
3.3.7 Meditation
“Meditation brings wisdom; lack of meditation leaves ignorance. Know
well what leads forward and what holds back; choose the path that leads
to wisdom” Buddha , (The founder of Buddhism 563-483 BC).
The term meditation has its origin from two Latin words “Meditari” which means
exercise of mind and “Mederi” which means to heal (Meditation is to heal by the exercise
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of mind). Meditation is one of the ancient forms of health practices involving mental,
spiritual and physical experiences and the records reveal that the meditation has history of
5000 years. The practice of meditation is associated with all the major religions such as
Hinduism, Buddhism, Christianity, Sikhism and Islam. It is the contribution of many great
spiritual leaders aimed at physical, mental and spiritual health.
According to Sri Sri Ravishankar,
“In meditation, healing can happen. When the mind is calm, alert and
totally contented, then it is like a laser beam-it is very powerful and
healing can happen”.
The scientific research substantiates that meditation stimulates the activity of the
prefrontal cortex of the brain, the part of the brain responsible for creating the positive
emotions, and increases “whole brain thinking and learning capacity”.
Integrated Amrita Meditation techniques “IAM” (Fig. 3.1) is created by Mata
Amirtanandamayi, affectionately known as “Amma” by her followers. Many of these
techniques are self taught and practiced extensively by herself as a master with complete
understanding. She has extensively practiced traditional meditation for a decade as part of
intense spiritual worship and has a thorough understanding of various forms of meditation.
It is simple combination of yoga, pranayama and meditation.
According to the study published in the International Journal “Evidence Based
Complimentary & Alternative Medicine”, IAM technique has helped in
improving the power of concentration, expansive thinking, awareness
increasing flexibility
toning of muscles
increasing oxygen in the blood
removal of toxins
lowering cholesterol levels
increasing emotional stability
decreasing the irritability and moodiness
heightening the sense of awareness and
lowering the cortisol and lactate levels
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Fig. 3.1 Integrated Amrita Meditation Mata Amirtanandamayi Math
This technique of meditation is taught across the world by trainers free of cost for the
benefit of creating happiness in humanity.
3.3.8 Art of Living
Art of Living is a movement founded by spiritual leader Sri Sri Ravi Shankar in
1982. This is a practice of breathing to remove the stress related violence and societal
issues. According to Sri Sri Ravi Shankar
“Every emotion has a corresponding rhythm in the breath and regulating
breath could help to relieve personal suffering”.
The UNESCO has given this movement a consultative status as an NGO. The
spirituality enhances human values, such as compassion and enthusiasm. The art of living
foundation offer a combination of yoga, breathing techniques, meditation, several stress
elimination and self development programmes. According to its founder, Sri Sri Ravi
Shankar, the Art of Living based on meditation, yoga and Ayurveda, being one of the best
de-stressors teaches one how to prevent illness. The right combination of yoga, pranayam,
meditation, proper food and ayurvedic herbs can correct one’s system. The organization’s
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core aspect of life improvement or stress buster technique “Sudharshan Kriya” has a range
of mental and physical benefits. The research study has proved that this technique helps in
the reduction of the level of stress hormone (Cortisol), relief from anxiety and depression,
enhancement of brain function with improvement in mental focus.
3.3.9 Integrated Medicine – Indian scenario
According to Cohen, (2002)152, Eastern traditions are based on holistic thinking that
maintains a cosmological perspective outlining a philosophy of life, while Western
medicine is based on a reductionist approach, emphasizing controlled scientific
experimental and mathematical analysis. These two broad approaches have led to the
development of two different approaches to achieving health and well-being.
India is showing a quantum leap in the integrated medicine, where East meets the
West and technology meets tradition. India has largest system of traditional medicine
practitioners in all forms – Ayurveda, Yoga, Unani, Homeopathy, Siddha, Holistic and
acupuncture. India is blessed with different climate and locations to cater to all types of
tourists. More over most of the people speaks English, and the Physicians are well
educated and knowledgeable. All these positive factors would favour India as a most
sought after destination for the integrated treatment and cure.
The general population is better informed than ever through greater access to health
information. The public is subsequently demanding more from the health care providers
and are not interested in treating illness alone. Instead they want to maximize their health,
prevent or slow down the ageing process and achieve higher levels of functioning (Cohen,
2001)153.
The Western medicine, concentrate on the illness model and spent money for
research and development of drugs and remedial treatments. The Integrated medicine
emphasizes on wellness and preventive model, the wellbeing.
Most of the integrated medicine is provided as a specialized package in
rehabilitation, prevention, rejuvenation, reenergizing, or holistic treatment vacations.
Traditionally, most of these practices are originated from India and integrating the Eastern
and Western medicine is considered the future of the modern health care. The cost
effectiveness and its least side effects prefer people to rely on this form of integrated
medicine. It is based on proven traditional alternative or complementary healing practices
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which would enable the people who suffer from chronic ailments to improve the lifestyle.
Since, the state government is actively promoting the Integrated Medicine, Bangalore, the
Capital city of Karnataka, became the hub for the combination of traditional and modern
systems for doctors from all over the world. In order to drive this initiative Prince Charles,
the founder of Royal College of Integrated Medicine collaborated with the Soukya
Foundation of Dr. Issac Mathai. A Memorandum of Understanding is reached to provide
clinical training for European and Western doctors in Ayurveda and Homeopathy to
integrate them in to their treatments. Prince Charles is a strong advocate of integrated
medicine and in his speech in the World Health assembly, 2005 at Geneva he said, “While
scientists try to learn more about how acupuncture works, increasingly robust evidence
drawn from various international studies indicate that it does work, particularly in
conditions like osteoarthritis of the knee”.
The list of all the Health and Wellness centers in India for all the types of health and
wellness treatments has been listed in Table 3.1
3.4 Role of Spas -- Pampering to Health and Wellness
The Generation X’ers and the ageing baby boomers are aware of the importance of
disease prevention through fitness of body, mind and spirit which is extended through
SPA’s that recognize and promote health and wellness. The famous Mayo clinic’s website
states “Mayo Clinic complementary and integrative Medicine programme was created to
address the growing patient interest in wellness promoting activities”, (Mayo Clinic
2007)154.
WebMD news letter which proclaims the following is of interest in this regard: “Live
the happiest healthiest possible” WebMD, (2007)155. The news letter also offers links to
sites for healthy cooking, beautiful skin, sleeping well, and weight loss.
Asian SPA’s are based on ancient traditions of healing remedies of the East. Most of
the practices are based on the philosophies, practices, and preaching of the three major
religions – Hinduism, Buddhism, and Confucianism.
The Indian spas are natural and approaches are holistic in nature and focuses on over
all healing using ayurvedic treatments. These treatments are adopted in Indian spas for
refreshing individuals to achieve harmony in terms of health and wellbeing of body, mind
and soul. These treatments include massage, facials, and body treatments
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Table 3.1 List of Health and Wellness Centers in India for all the types of
Health and Wellness treatments
Type of treatment Health Centers in India
3.3.1 Ayurveda
Ananda Spa, Rishikesh Himalayas
Aalia, Haridwar
Kottackal Arya Vaidyasala, Malappuram
Khyber Himalayan Resort and Spa, Gulmarg
Kairali Ayurvedic Healing Village Health Resort, Palakkad
The Leela’s ESPA Spa, Udaipur
Somatheeram Ayurvedic Health Resort, Kovalam
Sarovaram Ayurvedic Health Centre, Kollam
Kalari Kovilakam, Palakkad
Ayurvedic Yoga Villa, Wayanad
Indus Valley Ayurvedic Centre, Mysore;
Soukya, Bangalore
3.3.2 Yoga
NaturOville Ayurvedic and Yoga Retreat, Rishikesh
Indus Valley Ayurvedic Centre, Mysore
Soukya, Bangalore
Siddha Wellness Centre, Kerala
3.3.3 Siddha Deva Vidya Siddha Wellness Retreat, Thiruvananthapuram
Siddha Wellness Centre, Kerala
3.3.4 Unani Hljama Cupping Wellness Centre, Bangalore
3.3.5 Naturopathy NaturOville Ayurvedic and Yoga Retreat, Rishikesh
Soukya, Bangalore
3.3.6 Religion and
Spirituality
Jiva Spiritual Wellness Centre, Bangalore
Ananda Spa, Himalayas
3.3.7 Meditation
NaturOville, Ayurvedic and Yoga Retreat, Rishikesh
Indus Valley Ayurvedic Centre, Mysore
Soukya, Bangalore
Siddha Wellness Centre, Kerala
3.3.8 Art of Living Sri Sri Ayurveda Wellness Centre – Bangalore, Pune,
Hyderabad
3.3.9 Integrated Medicine Soukya, Bangalore
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The Indian Day Spa, usually provide for those who want a quick enhancement of
beauty and, physical and mental refreshment. Day Spa treatments such as massage, facials
and whole body treatments such as mud wraps and salt scrubs are offered on a day use
basis. Massage is the most popular spa treatment having several health benefits and
practiced for centuries. The massage produces softness, strength, colour, improve appetite,
reduces stress and build up immunity. “Shiro Dhara,” treatment using warm oil on specific
body parts relieves stress and strain of the entire body. It also rejuvenates and revitalizes
the human mind and body.
3.5 Indian Spas Treatments
The Indian Spas’s approaches are holistic in nature, focus on overall healing coupled
with Ayurvedic procedure of treatments. It is most preferred since it takes away the tension
and refresh, revitalizes and balances the body and mind to develop a harmonious life. The
Indian Spa Resorts are well planned to provide a complete range of traditional Ayurvedic
treatments and services.
3.5.1 Ananda: Destination spa
Ananda Spa in Rishikesh a former residence of Maharaja of Teri-Garhwal is located
in the midst of the Sal forest near the mythological locations of Haridwar and Rishikesh at
the Himalyan foot hills (Fig. 3.2).
Fig. 3.2 Ananda Spa in Himalayas
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It is one of the famous Ayurvedic spas which has won many awards for its offer of
personalized traditional treatments and diet in well designated luxury settings. This Luxury
resort Spa offer seventy nine body treatments integrating age old traditional system of
Ayurveda with contemporary modern Spa technology.
3.5.2 Amatrra, New Delhi
Amatrra resort in Delhi (Fig. 3.3) offers traditional Ayurveda, Oriental and
Astrological treatments incorporated with 21st century technology and equipments for the
provision of therapeutic and rejuvenation treatments. Most of this practices are time tested
and is provided to harmonize and balance the human energy through the services of Spa.
Fig. 3.3 Amatrra Spa
3.5.3 Jiva Spas, Taj Group of Hotels
This place offers a wide range of traditional and authentic health and wellness
treatments in a cozy atmosphere (Fig. 3.4).
3.6 Karnataka State Tourism Policy – Health and Wellness Tourism
Karnataka is a “Mini Incredible India’’ in its tourism offerings-“Many worlds of
tourism interest under one roof”. The foreign tourist may be charmed by the culture and
heritage, adventure, pilgrim centers, hill stations, wildlife sanctuaries, cruise, wilderness,
Heli-tourism and health and wellness tourism offerings – One state encompassing the
spectrum of many worlds of tourist interests.
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Fig. 3.4 Jiva Spa
In order to create a congenial environment for the Private investors, the Department
of tourism, Karnataka State had drafted the Karnataka Tourism policy (2009-14).The
policy is developed with an intention of Karnataka to be positioned and promoted as
India’s premier Health and Wellness destination.(Karnataka State Tourism Policy
page.No.17). It is planned to develop a Virtual Health care and Wellness City in the form
of a grid that links all major existing facilities with International standards. And also to
take advantage of the traditional systems of wellness and medicines like Ayurveda, Unani,
Siddha, and Yoga and to project the state as a unique destination for spiritual
healing.(KTIC/231/TTT2007Dt.7-10-2009).
Resurgence of interest in Ayurveda, Holistic and naturopathy has provided an
impetus to health and wellness tourism in Karnataka. In order to promote Health and
Wellness centers, Department of Tourism, Government of Karnataka has worked out
scheme for accreditation and classification for the delivery of safe and secured procedures
at Rejuvenation and Curative wellness centers across the state for tourists. The
Government had invited private partnership for developing health and wellness centers
across the country, “Your Massage Our Message” (Deccan Herald 27th January, 2010)
(Fig. 2.6).
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Fig. 3.5 Karnataka State Tourism Policy (2009-14) – Cover page.
Understanding that the younger generation is the future of the state, the Department
of Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homeopathy of Government of
Karnataka initiated marketing the health and wellness through various Programmes such as
“Tradition meets Technology” among the college students and young IT professionals in
their campuses who are responsible for generating a substantial income for the state.
3.7 Tourism Destination – Coastal Karnataka
A tourist destination may have one or more tourist attractions. These attractions are
known as “Tourist traps”. Most of the destinations depend upon the revenue received from
the tourism. Coastal Karnataka is identified as religious, cultural, health and wellness
tourism destination.
Fig. 3.6 Deccan Herald News Paper Advertisement (27th January, 2010)
Source: Deccan Herald, 27th January,2010.
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3.7.1 Advantages on a Destination
The Health and Wellness tourism offer a unique blend of the natural resources and
local cultures. Manapure (2012)156 opined that “A tourist destination for Health and
Wellness could be developed by engaging the knowledge and practices of the local people.
It can encourage entrepreneurship in creating wellness products. It can also promote the
feeling of oneness and sense of place of a destination and improve the health of the
residents”.
The Health and Wellness tourism also helps in upgrading the employment of the
marginally employed practitioners in the Health and Wellness tourism sector. There is a
propensity among the Health and Wellness tourists to spend more as they are from the
higher socio-economic group having high stress jobs and are seeking rejuvenation and
relaxation. This can benefit the destination economically and become sustainable. Health
and Wellness tourism could be marketed with new products to increase the repeat visits, so
as to fill low seasons or to develop a new tourist market. In order to meet the current needs
of the Health and Wellness tourists, innovative products and services are developed
incorporating cultural knowledge, natural features, local herbs and plants, to create new
experiences. In this context, the present study tries to understand the significance of
Manipal, Udupi District as a potential tourist destination.
3.7.2 Health and Wellness Tourism Destination
Health and Wellness tourism locations have been in existence for hundreds of years,
providing various forms of Health and Wellness products. “Unique natural features such as
mineral healing waters, beach, mountain resorts, and sacred sites are often the key
attractions in these destinations’’, (Steiner and Reisinger, 2006)157.
Destinations all over the world are developing necessary infrastructure and
experiences to attract Health and Wellness tourists. “Tourism demand fuelled by baby
boomers generation is strong for activities contributing to the wellness of mind, body,
emotions and spirit. These tourists seek lifestyle changes, rejuvenation, respite from hectic
lives, and have one of the highest disposable incomes of all demographic segments”,
(Gracia-Altes, 2005)158.
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The development of SPA’s and Wellness hotels worldwide, has helped in providing a
unique experience of products of national or regional resources of mountains, mineral
waters, seas, rivers, local traditions and practices, wherever there is a reasonable
infrastructure for tourism.
The Health and Wellness tourism products are offered by countries depending upon
the nature. Countries with sea coast offer products for thalassotherapy. Mountain Alps in
Europe, National parks in Central and South America, Safaris and Jungles in Africa,
Desserts in the Middle East and North Africa are considered by Health and Wellness
tourist as an ideal location for adventure. Middle East and North America is marketing
their desserts as an ideal location for Yoga and meditation. Medical therapeutic wellness
tourism in Germany has a big following by medical wellness tourists. Holistic activities at
traditional ashram in India or Buddhist retreat in Thailand are also becoming a Health and
Wellness tourism destination. Udupi and Manipal which is famous for culture, heritage,
pilgrimage, beaches, farm and Health and Wellness is an ideal tourist destination.
3.7.3 Pilgrimage Tourism Destination
3.7.3.1 Udupi -The temple city
Udupi is associated with the Temple of Lord Krishna. According to the legend, the
temple city is established by the Saint Madhvacharya in 13th Century. It is believed that the
divine intervention of Saint Madhavacharya have saved a ship and the crew from the strom
at Malpe. The sailors of the ship gave him the idols of the Lord Krishana and Lord
Balaraman as a token of their gratitude. Saint Madhavacharya did the Pratishte of Lord
Balarama at Malpe known as Vasabhandeshwara and the Lord Krishna at Udupi known as
Krishna Mutt (Fig. 3.7).
Saint Madhvacharya the great sage passed on the right of worship and administration
of the KrisnaMutt to his eight disciples. Each disciple set their Monastries around the